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Driver Care Plus Leaflet - Community - The Union for Life

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DRIVER CARE PLUS<br />

<strong>Community</strong>’s latest member benefit<br />

Calling all LGV drivers<br />

Get covered with <strong>Driver</strong> <strong>Care</strong> <strong>Plus</strong><br />

q Just 90p per week<br />

q £10,000 cover <strong>for</strong> permanent loss of licence*<br />

q Legal support <strong>for</strong> road traffic offences*<br />

What is it?<br />

Cover <strong>for</strong> permanent loss of license due to<br />

accidental injury, disability, illness, poor<br />

eyesight or assault <strong>for</strong> licensed LGV drivers<br />

who are members of <strong>Community</strong> Trade <strong>Union</strong>:<br />

q £10,000.00 cover in the event of license<br />

being revoked and the member being<br />

permanently disqualified from holding a<br />

license as a direct result of injury, illness<br />

or disability;*<br />

q Legal support – advice and representation<br />

against prosecution <strong>for</strong> Road Traffic<br />

Offences whilst driving an official vehicle<br />

on duty.<br />

*Subject to terms and conditions – see overleaf<br />

How do I get it?<br />

You need to fill out the correct application<br />

<strong>for</strong>m attached to this leaflet and:<br />

q either return it to your local <strong>Community</strong> rep<br />

q or send it to Freepost <strong>Plus</strong><br />

RRYB-SSYK-AXEB, <strong>Community</strong>,<br />

Member Service Centre, Carpet Weavers<br />

Hall, Callows Lane, KIDDERMINSTER<br />

DY10 2JG. No stamp required.<br />

At just 90p per week or £3.90 per month<br />

it represents great value <strong>for</strong> peace of mind.<br />

Payment can be taken with your member<br />

contribution by check-off <strong>for</strong> TNT Post members<br />

or by direct debit <strong>for</strong> any other members.


Terms and Conditions<br />

Loss of LGV license cover<br />

In the event of a member’s LGV (Large Goods<br />

Vehicle) license being revoked by the <strong>Driver</strong><br />

Vehicle and Licensing Agency (DVLA) in<br />

the United Kingdom and the member being<br />

permanently disqualified from holding a LGV<br />

license as a direct result of injury or sickness,<br />

the union agrees to pay a sum to the member<br />

equivalent to the amount covered, providing<br />

that the accident giving rise to the injury or the<br />

sickness occurs during the member’s compliant<br />

membership with the union and providing that<br />

the member’s payment premiums to the specific<br />

benefit are compliant.<br />

Limitations and Exclusions<br />

Alcohol, Drugs & Narcotics<br />

<strong>The</strong> union will not provide cover <strong>for</strong> any loss, and<br />

excludes payment of benefit where:<br />

a) injury or sickness is directly or indirectly<br />

caused by the member being under<br />

the influence of alcohol, as defined by<br />

the motor vehicle laws of the United<br />

Kingdom;<br />

b) injury or sickness is directly or indirectly<br />

caused by the member being under<br />

the influence of drugs or narcotics<br />

that are not lawfully available, unless<br />

legally prescribed <strong>for</strong> the member by a<br />

healthcare practitioner<br />

or<br />

c) as a direct or indirect result of the<br />

member’s own alcoholism or drug<br />

addiction.<br />

Deliberate Exposure<br />

<strong>The</strong> union will not provide cover <strong>for</strong> any loss,<br />

and excludes payment of benefit where injury<br />

or sickness is directly or indirectly caused by<br />

or is consequent upon deliberate exposure to<br />

exceptional danger (except in the normal course<br />

of normal occupational duties or in an attempt to<br />

save human life), or the member’s own criminal<br />

act.<br />

Pre-existing Conditions<br />

<strong>The</strong> union will not provide cover <strong>for</strong> any loss,<br />

and excludes payment of benefit where the loss<br />

of license results directly or indirectly from the<br />

member suffering any physical defect, infirmity,<br />

medical condition, mental or nervous disorder<br />

of any kind, including stress and depression,<br />

<strong>for</strong> which medical treatment has been received<br />

in the twelve (12) month period immediately<br />

preceding the joining date of the benefit.<br />

Suicide and Self-Inflicted Injury<br />

<strong>The</strong> union will not provide cover <strong>for</strong> any loss,<br />

and excludes payment of benefit where the<br />

loss of license results directly or indirectly from<br />

attempted suicide, intentional self-inflicted injury<br />

including self-inflicted injury arising from mental<br />

illness or insanity.<br />

Other Terms of Exclusion<br />

No benefit shall be payable if the date of first<br />

diagnosis by a healthcare practitioner is more<br />

than 12 months prior to the date that the license<br />

was revoked.<br />

No benefit shall be payable in the event of death.<br />

<strong>The</strong> benefit will not carry interest.<br />

No benefit shall be payable in the event that<br />

the member is out of compliance of union<br />

membership on the date of revocation of license.<br />

General Exclusions<br />

<strong>The</strong> union will not provide cover <strong>for</strong> any loss, and<br />

excludes payment of benefit where the loss of<br />

license results directly or indirectly from:<br />

a) the member engaging in air travel as a<br />

pilot;<br />

b) the member engaging in or taking part<br />

in naval, military or air <strong>for</strong>ce service or<br />

operations;<br />

c) nuclear hazards;<br />

d) war.


Duties in the event of a claim or<br />

potential claim<br />

Claim Notification<br />

<strong>The</strong> member will give notice in writing to the<br />

union as soon as reasonable practicable and at<br />

least within ninety (90) days from the date of<br />

license revocation.<br />

<strong>The</strong> member will:<br />

a) always act honestly, there being no<br />

rights to any <strong>for</strong>m of payment of benefit<br />

in the event that any claim is made<br />

fraudulently;<br />

b) give all such in<strong>for</strong>mation, assistance and<br />

<strong>for</strong>ward all documents to enable the<br />

union to investigate, settle or resist any<br />

claim <strong>for</strong> payment under the benefit as<br />

the union may require;<br />

c) provide such proofs and in<strong>for</strong>mation<br />

with respect to the claim <strong>for</strong> payment<br />

under the benefit as may reasonably be<br />

required, together with (if demanded)<br />

a statutory declaration of the truth of<br />

the claim and any matters connected<br />

therewith;<br />

d) not destroy evidence or supporting<br />

in<strong>for</strong>mation or documentation without<br />

the union’s prior consent;<br />

e) fully co-operate with and assist the<br />

union in the investigation and evaluation<br />

of the claim, including obtaining<br />

any other records the union deems<br />

necessary to evaluate the incident or<br />

claim <strong>for</strong> payment under the benefit;<br />

f) authorise the union to obtain medical<br />

records or other pertinent in<strong>for</strong>mation<br />

upon request, but only where legally<br />

permitted to do so in the event of<br />

an event involving injury, sickness or<br />

disablement.<br />

After initial submission of a claim, the union may<br />

be allowed to instruct a medical examiner, so<br />

often as may be deemed necessary to conduct<br />

an examination of the member.<br />

Legal Support<br />

<strong>The</strong> member will immediately send to the union<br />

copies of any request, demand, order, notice,<br />

summons, legal paper and all documents relating<br />

thereto in connection with an alleged Road Traffic<br />

Offence. In addition, the member must cooperate<br />

with the union or the appointed agent to<br />

allow them to comply with such relevant practice<br />

directions and legal action protocols.<br />

Legal support will not be available <strong>for</strong> speeding<br />

offences, driving under the influence of alcohol,<br />

drugs related charges, infringement of seat belt<br />

or mobile phone laws or parking tickets.<br />

Payment of Premiums<br />

Premiums under the benefit will be paid by<br />

the member and collected by the union in<br />

conjunction with and at the same or a similar<br />

time and frequency to the member’s union<br />

membership subscriptions.<br />

Coverage under the benefit will be on a rolling<br />

monthly basis i.e. payment and receipt of the<br />

benefit premium <strong>for</strong> one (1) month will provide<br />

immediate cover under the benefit <strong>for</strong> a period<br />

of one (1) month after the date of payment and<br />

receipt of the premium.<br />

Failure by the member to ensure that payment of<br />

the premium is made on the due date will render<br />

coverage under the benefit to be immediately<br />

expired.<br />

Cancellation<br />

<strong>The</strong> member may cancel subscription to the<br />

benefit at any time. Such cancellation shall not<br />

affect the coverage or premiums paid under the<br />

benefit prior to cancellation.<br />

<strong>The</strong> union may at any time serve written notice<br />

on the member at the current address provided<br />

by the member, cancelling the benefit with effect<br />

from the thirtieth (30th) day after service of the<br />

notice. Such cancellation shall not affect the<br />

coverage or premiums paid under the benefit<br />

prior to cancellation. Without prejudice to any<br />

other <strong>for</strong>m of service, the notice of cancellation<br />

is deemed to be served on the third (3rd) day<br />

after being posted if sent by pre-paid letter post<br />

properly addressed.<br />

Upon demand the union will return to the<br />

member a part of any premium paid in excess of<br />

that proportionate to the pre-cancelled portion of<br />

the premium.


Membership No<br />

APPLICATION <strong>for</strong><br />

DRIVER CARE PLUS SCHEME<br />

PLEASE RETURN COMPLETED FORM TO YOUR COMMUNITY REPRESENTATIVE OR SEND TO<br />

Freepost <strong>Plus</strong> RRYB-SSYK-AXEB, <strong>Community</strong>, Member Service Centre, Carpet Weavers Hall,<br />

Callows Lane, KIDDERMINSTER DY10 2JG<br />

NOTE: In<strong>for</strong>mation you supply on this <strong>for</strong>m will be held and processed in accordance with current Data Protection Legislation.<br />

We will not disclose your personal data to third parties unless you have given your consent to do so.<br />

Please give us your details<br />

Gender Male Female<br />

Full Name<br />

Home Address<br />

Postcode<br />

National Insurance No.<br />

E-Mail Address<br />

Date of Birth<br />

Tel. No<br />

Employers Name<br />

Employers Location<br />

Average Weekly Wage<br />

Including O/T (be<strong>for</strong>e tax)<br />

<strong>Driver</strong>s Licence No.<br />

Payroll No. (if known)<br />

Applicants Signature<br />

COMMUNITY<br />

67/68 LONG ACRE<br />

COVENT GARDEN<br />

LONDON WC2E 9FA<br />

To: <strong>The</strong> Manager<br />

Address<br />

Please give us your bank details<br />

Tick which date of the month you would prefer your account to be debited 1st 25th<br />

Please complete and send to the above address<br />

Name and full postal address of your Bank or Building Society<br />

Instruction to your Bank or Building Society<br />

to pay by Direct Debit<br />

Bank or Building Society<br />

Service User Number<br />

7 5 3 3 2 8<br />

Reference Number (Official Use Only)<br />

Instruction to your Bank or Building Society<br />

Postcode<br />

Name(s) of Account Holder(s)<br />

Please pay <strong>Community</strong> Direct Debits from the account<br />

detailed in this instruction subject to the safeguards assured<br />

by the Direct Debit Guarantee. I understand that this<br />

instruction may remain with <strong>Community</strong> and, if so, details will<br />

be passed electronically to my Bank/Building Society.<br />

Bank or Building Society Account Number<br />

Signature(s)<br />

Branch Sort Code<br />

Date<br />

✃<br />

Banks and Building Societies may not accept Direct Debit<br />

instructions <strong>for</strong> some types of account


APPLICATION <strong>for</strong> DRIVER CARE<br />

PLUS SCHEME TNT POST ONLY<br />

PLEASE RETURN COMPLETED FORM TO YOUR COMMUNITY REPRESENTATIVE OR SEND TO<br />

Freepost <strong>Plus</strong> RRYB-SSYK-AXEB, <strong>Community</strong>, Member Service Centre, Carpet Weavers Hall,<br />

Callows Lane, KIDDERMINSTER DY10 2JG<br />

NOTE: In<strong>for</strong>mation you supply on this <strong>for</strong>m will be held and processed in accordance with current Data Protection Legislation.<br />

We will not disclose your personal data to third parties unless you have given your consent to do so.<br />

Please give us your details<br />

Membership No<br />

Gender Male Female<br />

Surname<br />

Home Address<br />

National<br />

Insurance No.<br />

Forenames<br />

Date of Birth<br />

Postcode<br />

E-Mail Address<br />

Home Tel.<br />

Mobile<br />

Employers Name<br />

TNT POST<br />

Workplace Location<br />

<strong>Driver</strong>s Licence No.<br />

Applicants Signature<br />

AUTHORITY TO DEDUCT UNION SUBSCRIPTION FROM PAY<br />

SECTION B<br />

To:<br />

PAYROLL DEPT.<br />

Member’s signature<br />

I (Full name)<br />

authorise my employer to deduct from my pay £3.90<br />

each month or as subsequently arranged by <strong>Community</strong> from<br />

time to time in respect of scheme contributions, to commence<br />

immediately and pay the amount to <strong>Community</strong>.<br />

I note that this agreement may be cancelled by one month’s<br />

notice in writing.<br />

I give permission to my employer to notify <strong>Community</strong> of any<br />

future change of address.<br />

Staff payroll no.<br />

Branch Secretary’s name (please print)<br />

Date


Member Service Centre<br />

Carpet Weavers Hall<br />

Callows Lane, Kidderminster<br />

Worcs. DY10 2JG<br />

Freephone: 0800 389 6332<br />

e-mail: servicecentre@community-tu.org<br />

Head Office, 67/68 Long Acre<br />

Covent Garden, London WC2E 9FA<br />

Tel: 020 7420 4000 Fax: 020 7420 4095<br />

@communityunion<br />

facebook.com/communityunion<br />

www.community-tu.org.uk

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